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Record W4410325604 · doi:10.3233/shti250242

An Integrated Model of External Validity Usability Evaluations in Health Care

2025· article· en· W4410325604 on OpenAlexaff
Helen Monkman, Romaric Marcilly, Blake Lesselroth

Bibliographic record

VenueStudies in health technology and informatics · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHealth Policy Implementation Science
Canadian institutionsUniversity of Victoria
Fundersnot available
KeywordsUsabilityExternal validityRepresentativeness heuristicEcological validityComputer scienceInternal validitySample (material)WorkflowPopulationPsychologyApplied psychologyKnowledge managementHuman–computer interactionSocial psychologyMathematicsMedicineStatisticsCognition

Abstract

fetched live from OpenAlex

External validity is the extent to which the findings of an experimental study are applicable or can be generalized to other people and contexts. External validity includes both population validity (i.e., the representativeness of the sample) and ecological validity (i.e., the representativeness of other contextual variables such as the stimuli, workflow, and environment). There is no consensus on the number and names of the ecological validity dimensions researchers should consider when designing or evaluating usability evaluations in health care. Therefore, in this paper, we integrated concepts from 3 ecological validity frameworks into a unified external validity. We used this new framework to describe the dimensions of external validity of a previous usability study. This framework can inform the design and description of usability evaluations to enhance reproducibility and comparison of findings and ultimately better understand the impact of different dimensions and external validity holistically.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.144
metaresearch head score (Gemma)0.235
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Methods · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.856
Threshold uncertainty score0.763

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1440.235
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0020.004
Bibliometrics0.0110.007
Science and technology studies0.0040.025
Scholarly communication0.0160.017
Open science0.0050.011
Research integrity0.0050.005
Insufficient payload (model declined to judge)0.0070.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.606
GPT teacher head0.706
Teacher spread0.100 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designTheoretical or conceptual
DomainMethods
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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